[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"head-injuries-closed\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:head-injuries-closed":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,51],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":4,"maxAge":17,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":22,"conditions":23,"keywords":27,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":39,"lastUpdatePostDateStruct":40,"startDateStruct":43,"completionDateStruct":45,"leadSponsor":47,"locationsCount":50},"100641311","socio-cultural-level-health-literacy-and-parental-ct-demand-in-paediatric-minor-head-trauma-100641311",false,"NCT07655310","Socio-Cultural Level, Health Literacy, and Parental CT Demand in Paediatric Minor Head Trauma","The Relationship Between Family Socio-Cultural Level, Health Literacy, and Parental Demand for Computed Tomography in PECARN-Stratified Children Presenting With Minor Head Trauma: A Single-Centre Prospective Observational Cohort Study","Inclusion Criteria:\n\n1. Age less than 18 years at time of emergency department presentation\n2. Presenting complaint of head trauma sustained within the preceding 24 hours\n3. Classified as minor head trauma at triage, defined as a Glasgow Coma Scale (GCS) score of 14 or 15 at initial assessment\n4. Accompanied by a parent or legal guardian with capacity to provide written informed consent\n\nExclusion Criteria:\n\n1. GCS score 13 or less at presentation (moderate or severe head injury)\n2. Transfer from another medical facility\n3. Head trauma sustained more than 24 hours before emergency department presentation\n4. Known coagulopathy, anticoagulant therapy, or bleeding disorder\n5. Ventriculoperitoneal shunt in situ\n6. Previous intracranial neurosurgery\n7. Pre-existing neurological disorder affecting GCS interpretation (e.g., cerebral palsy, developmental delay)\n8. Clinical suspicion of abusive head trauma (non-accidental injury) identified by the treating physician\n9. Concurrent multi-system trauma\n10. No accompanying parent or guardian available for consent and socio-cultural assessment","ALL","17 Years",{"count":19,"type":20},200,"ESTIMATED","OBSERVATIONAL","Minor head trauma is one of the most frequent reasons for paediatric emergency department visits worldwide. The PECARN (Paediatric Emergency Care Applied Research Network) clinical decision rule stratifies children with minor head trauma into low-, intermediate-, and high-risk categories for clinically important traumatic brain injury (ciTBI) and provides evidence-based guidance on computed tomography (CT) ordering. Despite its high diagnostic accuracy, real-world CT utilisation frequently diverges from PECARN recommendations. Non-clinical family-level factors - including socio-cultural characteristics and health literacy - may drive part of this divergence, particularly through their influence on whether families explicitly request CT imaging.\n\nThis prospective observational cohort study will enrol 200 children with minor head trauma presenting to the emergency department of SBU Bursa Yuksek Ihtisas EAH, Bursa, Turkey. The primary aim is to determine whether family socio-cultural level (composite index incorporating education, occupation, income, and housing; scored 0-10) and health literacy (Newest Vital Sign-Turkish, NVS-TR) independently predict parental demand for CT imaging. Secondary aims include determining whether parental CT demand and family socio-cultural characteristics predict CT ordering by the treating physician, describing PECARN algorithm adherence patterns in this setting, and examining parental health-seeking behaviour at 7-day telephone follow-up.",[24,25,26],"Craniocerebral Trauma","Brain Injuries, Traumatic","Head Injuries, Closed",[28,29,30,31,32,33,34,35,36,37],"PECARN","paediatric head trauma","minor head trauma","computed tomography","health literacy","socio-cultural level","clinical decision rule","parental CT demand","emergency medicine","NVS-TR","RECRUITING","2026-06-17",{"date":41,"type":42},"2026-06-22","ACTUAL",{"date":44,"type":42},"2024-04-10",{"date":46,"type":20},"2027-08",{"name":48,"class":49},"Bursa Yuksek Ihtisas Training and Research Hospital","OTHER_GOV",1,{"id":52,"slug":53,"hasResults":11,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":4,"eligibilityCriteria":57,"healthyVolunteers":11,"sex":16,"minAge":58,"maxAge":4,"enrollmentInfo":59,"targetDuration":4,"studyType":60,"phases":61,"briefSummary":63,"conditions":64,"keywords":4,"overallStatus":38,"whyStopped":4,"lastUpdateSubmitDate":70,"lastUpdatePostDateStruct":71,"startDateStruct":73,"completionDateStruct":75,"leadSponsor":77,"locationsCount":50},"100487083","setting-families-on-a-positive-path-to-recovery-after-pediatric-tbi-road-to-recovery-100487083","NCT05622461","Setting Families on a Positive Path to Recovery After Pediatric TBI: Road-to-Recovery","Setting Families on a Positive Path to Recovery After Pediatric TBI: Road-to-Recovery, A Randomized Control Trial","Inclusion Criteria:\n\nCaregivers will be eligible if they are over 18 years of age, and if their child meets all of the following criteria:\n\n* Ages 3 months to 18 years at time of discharge from hospital\n* Sustained a complicated mild to severe TBI as defined by a Glasgow Coma Scale (GCS) of 13-15 with imagining abnormalities or GCS 3-12 with or without imaging abnormalities\n* Admitted overnight to the hospital\n* 0-3 months post-discharge\n\nExclusion Criteria:\n\nThe caregiver will be excluded from participation if any of the following occur:\n\n* Child did not survive the injury\n* Child sustained a non-blunt head trauma (e.g. gunshot wound)\n* Child does not reside with parent\u002Fcaregiver for study duration\n* English is not primary language spoken in the home","18 Years",{"count":19,"type":20},"INTERVENTIONAL",[62],"NA","This study has two main goals: 1) to refine and enhance the R2R-TBI intervention; and 2) to examine the efficacy of the R2R-TBI intervention in a randomized control trial. To achieve the second goal, we will employ a between-groups randomized treatment design with repeated measures at baseline, one-month post-randomization, and at a six-month follow-up. The two conditions will be: a) usual medical care plus access to internet resources regarding pediatric brain injury (Internet Resources Comparison group, IRC), and b) usual medical care plus the R2R-TBI intervention (Road-to-Recovery group, R2R-TBI).",[65,66,26,67,68,69],"Traumatic Brain Injury","Head Injury","Brain Hemorrhage, Traumatic","Brain Edema","Intracranial Edema","2025-06-20",{"date":72,"type":42},"2025-06-25",{"date":74,"type":42},"2023-02-13",{"date":76,"type":20},"2026-08-31",{"name":78,"class":79},"Children's Hospital Medical Center, Cincinnati","OTHER"]